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CTRI Number  CTRI/2010/091/002807 [Registered on: 03/11/2010]
Last Modified On: 28/02/2013
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Vaccine 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study
Modification(s)  
A clinical trial to see whether an alternate vaccination schedule of the killed oral cholera vaccine is as immunogenic as the standard vaccine schedule  
Scientific Title of Study
Modification(s)  
A RANDOMIZED CONTROLLED TRIAL TO EVALUATE THE IMMUNOGENICITY OF TWO DOSES OF THE MODIFIED KILLED WHOLE CELL ORAL CHOLERA VACCINE (WC-OCV) UNDER TWO ALTERNATIVE VACCINATION SCHEDULES 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
NCT01233362  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dipika Sur 
Designation  Scientist-F 
Affiliation  National institute of cholera and enteric diseases(NICED) 
Address  P-33,CIT Road
Scheme-XM, Beliaghata
Kolkata
WEST BENGAL
700010
India 
Phone  91-33-2336-3374  
Fax  91-33-2363-5066  
Email  dipikasur@hotmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Suman Kanungo 
Designation  Scientist-B 
Affiliation  National Institute of Cholera and Enteric Diseases(ICMR) 
Address  P-33,CIT Road
Scheme-XM, Beliaghata
Kolkata
WEST BENGAL
700010
India 
Phone  91-33-2336-3374  
Fax  91-33-2363-5066  
Email  kanungosuman@rediffmail.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dipika Sur 
Designation  Scientist-F 
Affiliation  National institute of cholera and enteric diseases(NICED) 
Address  P-33,CIT Road
Scheme-XM, Beliaghata
Kolkata
WEST BENGAL
700010
India 
Phone  91-33-2363-3374  
Fax  91-33-2370-5066  
Email  dipikasur@hotmail.com  
 
Source of Monetary or Material Support  
International Vaccine Institute,Seoul, Korea 
 
Primary Sponsor
Modification(s)  
Name  International Vaccine InstituteSeoul Korea 
Address  Seoul National university campus,Shilim Dong,Kwan-ku,Seoul,Korea 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dipika Sur  National Institute of Cholera and Cholera and Enteric Diseases  P-33 CIT Road,Scheme-XM,Beliaghata-700010
Kolkata
WEST BENGAL 
91-33-2363-3374
91-33-2370-5066
dipikasur@hotmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NICED IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  To study the safety and immunogenicity of the killed oral cholera a vaccine under two alternate dosing schedules among healthy non pregnant volunteers aged 1 year and above 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Heat and formalin killed strains of E.coli K12  2doses 1.5ml  
Intervention  Modified Killed Whole Cell Oral cholera Vaccine (Shancol)  2 doses of 1.5 ml each 2 weeks and 4 weeks apart (alternate schedule) 
 
Inclusion Criteria
Modification(s)  
Age From  1.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Healthy, non-pregnant adults aged 18 years and above and healthy children aged 1 - 17 will be recruited in Kolkata.

All subjects must satisfy the following criteria at study entry:
1. Males or non-pregnant females aged 18 years and above and children aged 1 -17 years who the investigator believes will comply with the requirements of the protocol (i.e. available for follow-up visits and specimen collection).
2. Written informed consent obtained from the subjects or their parents/guardians, and written assent for children aged 12 ? 17 years.
3. Healthy subjects as determined by:
Medical history
Physical examination
Clinical judgment of the investigator
 
 
ExclusionCriteria 
Details  The following criteria should be checked at the time of study entry, if any of the following is present then the subject will be excluded from the study: 1. Ongoing serious chronic disease 2. For females of reproductive age: Pregnancy (or females planning to become pregnant during the study period; as determined by verbal screening) 3. Immunocompromising condition or therapy (for corticosteroids this would mean ≥0.5 mg/kg/day) 4. Diarrhea (3 or more loose/watery stools within a 24-hour period) 6 weeks prior to enrollment 5. One or two episodes of diarrhea lasting for more than 2 weeks in the past 6 months 6. One or two episodes of abdominal pain lasting for more than 2 weeks in the past 6 months 7. Intake of any anti-diarrhea medicine in the past week 8. Abdominal pain or cramps, loss of appetite, nausea, general ill-feeling or vomiting in the past 24 hours 9. Acute disease one week prior to enrollment, with or without fever. Temperature ≥38ºC warrants deferral of the vaccination pending recovery of the subject 10. Receipt of immunoglobulin or any blood product during the past 3 months 11. Receipt of antibiotics in past 14 days 12. Receipt of live or killed enteric vaccine in past 4 weeks 13. Receipt of killed oral cholera vaccine  
 
Method of Generating Random Sequence
Modification(s)  
Stratified block randomization 
Method of Concealment
Modification(s)  
Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking
Modification(s)  
Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Proportion of subjects exhibiting 4-fold or greater rises in titers of serum vibriocidal antibodies, relative to baseline, 14 days after last dose of study agent in each dose-interval group   Primary Time point is the measurement of serum vibriocidal titres,relative to baseline, 14 days after last dose of study agent in each dose-interval group  
 
Secondary Outcome  
Outcome  TimePoints 
1. Proportion of subjects exhibiting 4-fold or greater rises in titers of serum vibriocidal antibodies, relative to baseline, 14 days after first dose of study agent 2. Geometric mean serum vibriocidal titers at baseline, 14 days after each dose of the study agent, in each dose-interval group. 3. Proportion of subjects given 2 doses of study agent given 14 and 28 days apart with any of the following adverse events: a. Immediate reactions within 30 minutes after each dose b. Serious Adverse Events occurring throughout the trial c. Reactogenicity during three consecutive days following each dose: Headache, vomiting, nausea, abdominal pain/cramps, gas, diarrhea, fever, loss of appetite, general ill feeling i. Diarrhea is defined as having 3 or more loose/watery stools within a 24 hour period. ii. Fever is defined as having an oral or tympanic temperature of ≥38o C   For Safety: a. Immediate reactions within 30 minutes after each dose b. Serious Adverse Events occurring throughout the trial c. Reactogenicity during three consecutive days following each dose: For immunogenicity: 14 days after each dose of the study agent, in each dose-interval group 
 
Target Sample Size
Modification(s)  
Total Sample Size="386"
Sample Size from India="386" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)
Modification(s)  
15/11/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="1"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
None Yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The study is a placebo controlled double blind,randomized trial aimed to see whether the killed oral cholera avccine (Shancol) that is available in India are more immunogenic if the dosing interval between the two doses are increased,as evident from earlier findings where it has been shown that there is higher immune response following first dose than after the second dose given at 2 weeks interval. For the main study the sample size is 356,aged 1-17 yeras and 18 yeras and above. Additional 30 volunteers will be recruited for exploration of alternate assays to see the immune response to this vaccine 
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